Jackie Lynne West, LPCC, LADAC in Albuquerque, NM

Jackie Lynne West, LPCC, LADAC is a medicare enrolled "Counselor - Professional" provider in Albuquerque, New Mexico. Her current practice location is 5400 Gibson Blvd Se, Albuquerque, New Mexico. You can reach out to her office (for appointments etc.) via phone at (505) 841-8978.

Jackie Lynne West is licensed to practice in New Mexico (license number CTB-2022-0948) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1124231618.

Contact Information

	Jackie Lynne West, LPCC, LADAC
	5400 Gibson Blvd Se, Albuquerque, NM 87108-5566
	(505) 841-8978
	(505) 841-8977

Map and Direction

Healthcare Provider's Profile

Full Name	Jackie Lynne West
Gender	Female
Speciality	Counselor - Professional
Location	5400 Gibson Blvd Se, Albuquerque, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124231618
Provider Enumeration Date: 05/08/2007
Last Update Date: 01/09/2025

Medicare PECOS Information:

PECOS PAC ID: 7113467341
Enrollment ID: I20240913002340

Medical Identifiers

Medical identifiers for Jackie Lynne West such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124231618	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	4749 (New Mexico)	Secondary
101YM0800X	Counselor - Mental Health	T-0098501 (New Mexico)	Secondary
101YP2500X	Counselor - Professional	CTB-2022-0948 (New Mexico)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jackie Lynne West allows following entities to bill medicare on her behalf.

Entity Name	Teambuilders Behavioral Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790329472 PECOS PAC ID: 5294126629 Enrollment ID: O20211220001149

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jackie Lynne West is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jackie Lynne West, LPCC, LADAC 2504 Camino Entrada, Santa Fe, NM 87507-4851 Ph: (505) 216-2727	Jackie Lynne West, LPCC, LADAC 5400 Gibson Blvd Se, Albuquerque, NM 87108-5566 Ph: (505) 841-8978

Reviews and Comments

Counselor in Albuquerque, NM

Ms. Lori M Ortiz, M.A. LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2403 San Mateo Blvd Ne, Albuquerque, NM 87110 Phone: 505-830-1871
Cynthia Marie Taylor, M.A., LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1218 Griegos Rd Nw, Albuquerque, NM 87107 Phone: 505-345-8471
Mrs. Shelley Sue Stisser, LPC Counselor Medicare: Medicare Enrolled Practice Location: 8205 Spain Rd Ne Ste 106, Albuquerque, NM 87109 Phone: 505-856-0300 Fax: 505-856-7946
Hillary Carman, B.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1218 Griegos Rd Nw, Albuquerque, NM 87107 Phone: 505-345-8471
Ms. Ramona Floyd, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1218 Griegos Rd Nw, Albuquerque, NM 87107 Phone: 505-345-8471
Mrs. Rachel Offineer Roberts, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10511 Golf Course Rd Nw, Suite 102, Albuquerque, NM 87114 Phone: 505-717-1155 Fax: 505-717-1473
Julie Marie Raborn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 600 1st St Nw, Suite 200, Albuquerque, NM 87102 Phone: 505-224-9124 Fax: 505-847-9503

Jackie Lynne West, LPCC, LADAC - Medicare Counselor in Albuquerque, NM